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HESI LPN · HESI LPN Fundamentals of Nursing · LPN Introduction to Nursing Quizlet

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

What action by a nurse will help a patient meet self-esteem needs?

A. verbally negate the patient's negative self-perceptions

B. freely give compliments to increase positive self-regard

C. independently establish goals to improve self-esteem

D. respect the patient's values and belief systems

Expert Explanatory Rationale

Correct Answer: respect the patient's values and belief systems

Question 2 of 5

A client undergoes extracorporeal shock wave lithotripsy. Before discharge, the nurse should provide which instruction?

A. Take your temperature every 4 hours.

B. Increase your fluid intake to 2 to 3 L per day.

C. Apply an antibacterial dressing to the incision daily.

D. Be aware that your urine will be cherry red for 5 to 7 days.

Expert Explanatory Rationale

Correct Answer: Increase your fluid intake to 2 to 3 L per day.

Question 3 of 5

Behaviors of active listening. Select one that doesn't apply

A. Responding positively when giving feedback

B. Writing down what the client says so that details are not forgotten

C. Maintaining an open posture

D. Establishing and maintaining an eye contact

Expert Explanatory Rationale

Correct Answer: Writing down what the client says so that details are not forgotten

Question 4 of 5

While bathing a patient with cancer, the nurse assessed several large new bruises on the patient's upper arms and thighs. An understanding of the possible causes and the correct nurse's actions for these findings are that

A. The patient must have fallen last night walking to the bathroom. Teach the patient to use the call bell when assistance is needed.

B. The patient may have disseminated intravascular coagulation. The size, shape, location, color, and tenderness must be reported and recorded fully.

C. An intravascular fluid overload is occurring because of the chemotherapy. Place the patient on strict input/output (I/O) status and limit fluids.

D. The patient must have had a drug-induced seizure, which caused arm and leg thrashing and the bruises. Report and record the findings, and pad the side rails.

Expert Explanatory Rationale

Correct Answer: The patient may have disseminated intravascular coagulation. The size, shape, location, color, and tenderness must be reported and recorded fully.

Question 5 of 5

The nurse is caring for a patient with critical limb ischemia who has just arrived on the nursing unit after having percutaneous transluminal balloon angioplasty. Which action should the nurse perform first?

A. Obtain vital signs.

B. Teach wound care.

C. Assess pedal pulses.

D. Check the wound site.

Expert Explanatory Rationale

Correct Answer: Obtain vital signs.

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